Obituaries

James McIntosh
B: 1932-01-22
D: 2017-10-19
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McIntosh, James
Judy Inman
B: 1953-04-20
D: 2017-10-19
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Inman, Judy
Larry Mason
B: 1953-09-02
D: 2017-10-17
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Mason, Larry
Norman McCrory
B: 0000-01-11
D: 2017-10-17
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McCrory, Norman
Emily Wade
B: 1958-12-13
D: 2017-10-15
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Wade, Emily
Linda Chapin
B: 1939-02-05
D: 2017-10-12
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Chapin, Linda
Patricia Hendrix
B: 1949-03-26
D: 2017-10-12
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Hendrix, Patricia
Carmelina Threet
B: 1928-06-16
D: 2017-10-11
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Threet, Carmelina
Lisa Higginbotham
B: 1958-02-05
D: 2017-10-10
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Higginbotham, Lisa
Paul Tate
B: 1930-01-27
D: 2017-10-09
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Tate, Paul
Uvonna Curott
B: 1925-12-05
D: 2017-10-08
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Curott, Uvonna
Mary Sutherland
B: 1927-01-17
D: 2017-10-07
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Sutherland, Mary
William Hendrix
B: 1944-02-08
D: 2017-10-02
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Hendrix, William
James Ransom
B: 1931-12-20
D: 2017-10-01
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Ransom, James
Kenneth Bailey
D: 2017-09-25
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Bailey, Kenneth
Brady Bruce
B: 1954-02-27
D: 2017-09-22
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Bruce, Brady
Kelly Biggers
B: 1950-09-22
D: 2017-09-19
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Biggers, Kelly
Medred Piacenza
B: 1941-10-10
D: 2017-09-16
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Piacenza, Medred
Hubert Kendrick
B: 1931-01-20
D: 2017-09-13
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Kendrick, Hubert
Walter Murphy
B: 1964-07-26
D: 2017-09-11
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Murphy, Walter
Norma Burns
B: 1937-04-10
D: 2017-09-09
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Burns, Norma

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1535 Hermitage Drive
Florence, AL 35630
Phone: (256) 764-0221
Fax: (256) 764-5626

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Elkins Funeral Homes, please notify us first by phone at (256) 764-0221 or 757-2144.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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